Search results

1 – 5 of 5
Per page
102050
Citations:
Loading...
Access Restricted. View access options
Article
Publication date: 4 February 2010

Eleanor Swain, Sara Boulter and Nicola Piek

This article outlines conventional dual diagnosis outcome measures and the challenges of using these measures to evaluate interventions in medium secure units. It suggests how…

144

Abstract

This article outlines conventional dual diagnosis outcome measures and the challenges of using these measures to evaluate interventions in medium secure units. It suggests how these challenges can be overcome by using alternative outcome measures such as measures of motivation, stages of change, beliefs, knowledge, group satisfaction, therapeutic alliance or coping strategies.

Details

The British Journal of Forensic Practice, vol. 12 no. 1
Type: Research Article
ISSN: 1463-6646

Keywords

Access Restricted. View access options
Article
Publication date: 16 February 2015

Marc Samuel Tibber, Nicola Piek and Sara Boulter

This study is a post hoc service level investigation into the efficacy of a forensic dual diagnosis intervention. The treatment programme incorporated the principles of cognitive…

434

Abstract

Purpose

This study is a post hoc service level investigation into the efficacy of a forensic dual diagnosis intervention. The treatment programme incorporated the principles of cognitive behavioural therapy and Motivational Interviewing, and was comprised of three stages: psycho-education into the links between mental/physical health, substance use and offending, the cultivation of coping strategies and relapse prevention planning. The paper aims to discuss these issues.

Design/methodology/approach

Treatment outcome was tracked using pre- and post- stage 1 and 2 measures, and included self-report questionnaires that probed service users’ readiness for change, motivations for treatment and perceived effectiveness of coping strategies (n=80 and 37 patients for stages 1 and 2, respectively). In addition, service users undertook a knowledge “quiz”, which probed information retention.

Findings

The results show that whilst psycho-education (stage 1) increased service users’ knowledge of key issues, this had no parallel effects on other measures. In contrast, completion of stage 2 led to an increase in external motivation for treatment, although this did not translate into a shift in service users’ readiness for change.

Research limitations/implications

These findings are consistent with the Motivational Interviewing literature and highlight the need for a shift in internalised motivation for treatment if change is to be elicited. Further, they point towards the viability of using self-report measures to monitor treatment outcome in a secure forensic setting.

Originality/value

These findings have a number of implications for the design and on-going evaluation of forensic dual diagnosis services, an area of research that is currently under-represented in the literature.

Details

Advances in Dual Diagnosis, vol. 8 no. 1
Type: Research Article
ISSN: 1757-0972

Keywords

Access Restricted. View access options
Article
Publication date: 26 June 2009

Nicola Piek

The prevalence of dual diagnosis in mentally disordered offenders is high. This paper outlines the dual diagnosis needs of service users in a north London secure forensic mental…

139

Abstract

The prevalence of dual diagnosis in mentally disordered offenders is high. This paper outlines the dual diagnosis needs of service users in a north London secure forensic mental health unit and discusses the development and implementation of a group treatment programme. It describes the three stages of the group work programme and suggests ways to support facilitators and evaluate the effectiveness of the programme.

Details

Advances in Dual Diagnosis, vol. 2 no. 2
Type: Research Article
ISSN: 1757-0972

Keywords

Access Restricted. View access options
Article
Publication date: 26 June 2009

Cheryl Kipping

53

Abstract

Details

Advances in Dual Diagnosis, vol. 2 no. 2
Type: Research Article
ISSN: 1757-0972

Access Restricted. View access options
Article
Publication date: 4 February 2010

Carol Ireland and Shelly Morris‐King

33

Abstract

Details

The British Journal of Forensic Practice, vol. 12 no. 1
Type: Research Article
ISSN: 1463-6646

1 – 5 of 5
Per page
102050